A Case of Jejuno-Jejunal Intussusception Caused by Underlying Metastatic Melanoma

Intussusception in adults is a rare finding with a majority of cases occurring in the pediatric population. It occurs infrequently and its presentation, etiology, and treatment differ from childhood intussusception. When discovered in adults, it raises suspicion for a neoplastic process serving as t...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2023-03, Vol.15 (3), p.e36217
Main Authors: Ahdi, Hardeep S, Kruchko, David, Asado, Nahren, Kakodkar, Samir
Format: Article
Language:English
Subjects:
Abdomen
Adults
Biopsy
Cardiovascular disease
Case reports
Gastroenterology
Hyperplasia
Intestinal obstruction
Ischemia
Laparotomy
Medical imaging
Melanoma
Metastasis
Oncology
Pain
Pediatrics
Risk factors
Skin cancer
Small intestine
Tomography
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Description
Summary:Intussusception in adults is a rare finding with a majority of cases occurring in the pediatric population. It occurs infrequently and its presentation, etiology, and treatment differ from childhood intussusception. When discovered in adults, it raises suspicion for a neoplastic process serving as the pathological lead point. Cross-sectional imaging is the primary study of choice for diagnosis, but at times, a more invasive approach involving an exploratory laparotomy is required posing an increased risk for morbidity and mortality. Here we present a 64-year-old male who was found to have jejunal-jejunal intussusception that was surgically removed with pathology revealing metastatic melanoma as the lead point. This case highlights a unique presentation of a melanoma that was previously eradicated with immunotherapy and now had metastasized to the intestine many years later.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.36217